What can I do to look less tired and unhappy?

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Hello Rational9767! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. I recommend trying the Morpheus8 radiofrequency treatment. This is a great treatment that helps to increase collagen production, tighten the skin, improve fine lines, minimize the pores, and helps to rejuvenate the appearance of the skin. I hope this helps!

No pictures, no information. But we can visualize what you mean. The sagging under the eyes makes you look prematurely older and tired. This is an issue of either deflation with soft tissue sagging, or skin laxity which can be accelerated by environmental exposure, e.g., sun. Bone structure in a flatter, less prominent cheek, allows the natural aging process to start earlier.
The treatment is reversal of any and all of those factors: fat grafting to the suborbital area to enhance the normal youthful cheek fullness and shorten the distance between the lower lid and cheek, which when elongated is a sign of aging. Skin tightening might be helpful, as in a lower lid blepharoplasty, but at 37 be careful with this, as trying to solve the problem with skin tightening instead of support from below you are subject to the complications of retraction of the lower lid. Some laser treatments can have a benefit, such as fractional erbium or CO2 to tighten the skin non-surgically.